Living life to the full around the world
Read about how people around the world live with Cerebral Palsy and Disability. Here you will read about our highs and lows in life,
Contributors
26 October 2008
25 October 2008
Disability Takes Many Forms
http://www.bellaonline.com/articles/art43293.asp/zzz
October is National Disability Employment Awareness Month. I was surprised myself to stumble across this information on the internet. I have never heard this before but certainly feel that it is newsworthy.
This day of recognition began in 1945 as an effort to educate Americans about disability issues. At that time Congress enacted a law officially declaring the first week of October each year to be "National Employ the Physically Handicapped Week." Seventeen years later in 1962 the name was changed to "National Employ the Handicapped Week" by this time the country had realized the need to accommodate persons with all types of disabilities. Finally, in 1988 the week was expanded to a month and the name was changed once again to "National Disability Employment Awareness Month."
In a statement from President Bush regarding National Disability Employment Awareness Month, 2008 we are told that America as a nation is reaffirming its commitment to make sure that our Nation's promise extends to all citizens of our great county. This is an extraordinary opportunity and all Americans should be made aware particularly those willing to gainfully employ those with disabilities. News of this kind should definitely acquire more airtime on our radio and television stations.
Census 2000 indicates that there are approximately 49.7 million people in our country with some type of disability or long term condition. According to the Census they represent 19.3 percent of the population and this does not include those who are institutionalized. When broken down this comes to nearly one person in five, shocking statistics when you think about it! How many of us have ever stopped long enough to realize the number of our fellow citizens that are disabled?
Unfortunately, these numbers are due to increase as our population increases. Having a family member with a disability I know that we often believe that our government and society do not offer enough assistance to our disabled citizens. Nevertheless, in comparison to other countries we actually do have a great deal of support in this country for the disabled. For those who have never dealt with disability it is often a shock when we discover all that must be done to obtain these services. I know from previous experience the road is long but nothing of value is ever free. It also goes without saying that there is much more that should and needs to be done but, we really are very blessed with resources in America.
In the past few years it seems that more people and resources are getting on the bandwagon so to speak to reach out to those with various needs. In the past few years I have learned of many organizations that participate in programs for the disabled. There is information available to anyone who desires to learn how to teach, support and be a valuable resource to our disabled citizens.
For a variety of information please visit the website National Council for Support of Disability Issues http://www.ncsd.org/Newsletter/ncsdnews.htm
I also hope you will take a few moments of your time and visit the Library of Congress web page on "National Disability Employment Awareness Month" at the link provided below.
http://www.loc.gov/topics/disabilityawareness/
Deborah Pipas, Disabilities Editor
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A World Without Fear
I've heard it said that this world waits for no one, that it won't adapt for those with physical limitation. I realize that I'm already stepping on hollow ground here, but that's okay. Just because our world chooses not to adapt for certain people. Does not excuse us a humanity to look down on one another.
Allow me to ask a very simple question:
What is this world coming to?
I ask this because as a physically challenged person, it feels rather embarrassing when you slip and fall at a restaurant because the was a slick spot on the ground. After you do your best not to make a scene, you look around to see that everyone has heard that sound of your crutches hitting the floor and the thud of your body hitting the ground.
But a good majority of people just glance, and then go back to eating their burgers made with some pink in the middle. I mean sure, the staff of the restaurant came rushing over to see if I was okay. Which I was, I shook it off and tried my hardest to act like nothing happened.
What happened to the good samaritans of our day? The kind that would stop at anything to see if one was alright. I don't think that their gone, rather I believe that they're in all of us. Its the fear in us that prevents us from acting and being a hero. So I suppose that this where my vision for a perfect world would begin. This is a singular and plural approach because it speaks of community.
If you turn on the news and watch for ten minutes, you'll probably notice it has to do with the "Us Versus Them" Factor. The democrats versus republicans. This gets annoying quickly, because a bigger picture is always missed. I really don't care what one believes is true, more times than none I care about what we do with time we are given in this short life.
Its more beneficial to our world, when two people who have nothing in common with one another, can find a means to come together as one for a greater good. This may seem so small, but its because we cannot see the edification of our actions.
This kind of vision for our world is more than possible, but as I've said more than a million times. It starts with you first, you must know and realize that your life means something. And that no one can tell you different, okay? We've been told this growing up from our parents I'm sure.
This saying was ingrained in me, by my parents, and I'm very thankful because of it. I heard a quote today and it went a little something like this: "Even if you don't believe in God, He believes in you". In his eyes, we are all his sons and daughters. And know one is above one another.
Even if you don't believe in God, we need to wrap our minds around the fact that know one is above anyone else. Our blood still is the same color. We all get covered in dirt when we die, so with the little time that we have in this life. Why can't we allow ourselves the time change and become the type of people that are not paralyzed by fear?
With love.
-Brandon Ryan
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Providing Holidays for People with Disabilities
Hi,
Supported Holidays was formed in 2002 by Sue Osman. The company provides holidays for people with disabilities on the Costa Del Sol, Spain.
The Mission Statement of the company is;
âTo provide the very highest level of care and support to enable guests to experience the best holiday that they can haveâ.
Sue has worked in the field of care since leaving school 17 years ago, initially as a care assistant and for many years and as both a Registered Care Home Manager and Supported Living Housing Manager within the following registered categories:
o Learning Disabilities
o Physical Disabilities
o Mental Health
o Hearing & Visually Impaired
o Older People
o Challenging Behaviour
The desire to offer something new for holidays was born out of the frustration to book quality holidays for her Service Users. The usual week of a cottage in the Cotswolds or a caravan at Great Yarmouth came with the problems of quality and staffing costs. She has always sought to encourage her service users to achieve and experience the very best they can and the opportunity for foreign travel should be amongst those experiences.
Guests are now flying to Spain from all over the UK. Each holiday booked in the culmination of many hours of discussion. Every guest is different, the emotional and physical requirements of the guest is the primary concern. Activities and trips are discussed and can be as simple as lying by the pool to boat trips to see the dolphins.
The holiday that is provided is one that guests have chosen; there are no restrictions, no must haves, no dos or donâts, other than health and safety issues.
Care is provided as required, from 1 â 2 hours personal care to 24 hour full support. Individual guests, couples and small groups usually stay in the purpose built accommodation within the family villa. Larger groups can be accommodation in another 5 bed roomed villa less than 100 meters away. Our holidays are usually based upon 3 guests to 1 staff ratio.
We also have a new project under the âSupported Holidays.co.ukâ umbrella based in Antequera run by a couple that worked for us in 2007.
Supported Holidays is a unique service, individually tailoring two different types of holiday packages to meet the needs of our guests. The '24-Hour Fully Inclusive Supported Holiday (FISH) and the (FLEXI) Holiday Package'.
The Fully Inclusive Supported Holiday (FISH);
Our accessible user-friendly database allows guests to make decisions about their day, from going on a day trip to where and what they want to eat.
Prices include:
⢠Return flights from UK airports
⢠Support at the Airports ~ This is arranged with the airline & the Passenger Handling Dept at time the of booking flights to ensure all your support needs will be met
⢠Return private air-conditioned transfers ~ A member of our team will greet you at Malaga Airport and to drive you to your accommodation, and again for your return journey.
⢠Accommodation ~ The private fully wheelchair accessible apartment is in the grounds of our family villa which means you have support at hand when needed. The apartment consists of two twin bedrooms, large wet room, specialised equipment, internal alarm systems, TV video & DVD player , stereo, play-station and drinks making facilities. Outside there are terraces, gardens, fruit trees, laundry room, bar area, swimming pool & BBQ.
We also have many luxury villas and apartments nearby for larger groups.
⢠Towels, Linen & Bathrobes ~ Bath & Beach towels provided and changed daily.
⢠On Site Toiletries â A selection of toiletries are available, this includes: shampoo, shower gel, soap, toothpaste, sun lotions, aftersun, etc
⢠Medication Administration ~ All staff are trained to administer M.A.R.R / Dosset Box medication. We require information regarding medication contraindications and side effects.
⢠Money Management ~ We support guests with all aspects of money management i.e. budgeting spending money, safe keeping and advice on value for money.
⢠Welcome Packs ~ Includes typical Spanish & English snacks & a bottle of bubbly!
⢠Professional Support ~ At hand 24 hours a day
⢠All Meals ~ including, served breakfast, packed lunches & meals out. We can also provide a packed snack for guests return journey.
⢠Full Day trips ~ Everyday. Visiting attractions of your choice from our âActivities Folderâ i.e. boat trips, horse riding, animal & adventure parks etc. All attractions are audited for suitability. All entrance feeâs are included.
⢠Evenings Out ~ Every night. Restaurants, bars & shows
⢠Personalised Photo Album ~ Photos are taken throughout the holiday and an album is presented to you at the end of your holiday so you can take your memories home with you. We may need to post the last dayâs photoâs to you.
⢠Laundry Service ~ Most clothes will be washed ready for you to take home clean with you.
⢠Cleaning Service ~ The bedrooms and en suite wet room will be freshly prepared daily.
⢠Shopping Service ~ We go to the shops most days so if you need anything just let us know, or if you want and youâve got time you can always come with us.
⢠24 hour on-call service ~ A pre-programmed mobile phone is provided.
⢠Communication ~ All guests can be contacted on either the villaâs landline or on the On-Call Managers mobile.
⢠Daily Reports ~ For those guests that require a written daily report
⢠Snacks & Drinks ~ Freely available at the villa
⢠FREE Bar ~ at the villa
⢠Phone Calls ~ Guests are welcome to use the villa telephone to call their families and carers (within reason of course!)
⢠Supported Holidays Souvenir
⢠Destination Souvenir
⢠Public Liability Insurance
⢠Returned Forgotten Items (within reason)
⢠Christmas Card & Gift
⢠Birthday Card
Whatâs NOT Included:
⢠Travel & Medical Insurance
⢠Extra drinks when out
⢠Transport to and from UK departure airport
⢠Any invasive treatment that is needed, however we do provide escort, advice and translations of medical services
⢠Any spending money for gifts, postcards & other personal items
2009 Prices;
Our 2009 prices are based upon guests confirming their holidays dates during 2008.The total cost for the above package is ÂŁ999 per person per week; any additional weeks are at a discounted rate of ÂŁ899.
Holidays booked in 2009 are ÂŁ999 plus flight costs to Malaga. If booked in advance flights can cost as little as ÂŁ50 return, short notice flights may cost up to ÂŁ200 return plus.
During 2009 we are also offering the following packages (please contact us for further details):
⢠Winter Sun Packages: Jan, Feb & March 2009 (Includes skiing)
⢠Portugal: 7 â 14 April 2009
⢠4 day mini-cruise to Amsterdam: 15 â 18 May 2009
⢠5 day Mediterranean cruise: Dates to be confirmed
⢠Christmas 2009 in Tenerife
Our other project are specialising in holiday for families with children with disabilities. Further information available upon request.
If you, a family member, a friend or service user would like to experience Spain and all that it offers review the website, read the testimonials but most importantly call or email to let Sue know.
Please advise us on your preferred holiday dates ASAP to avoid disappointment as we are getting booked up already for 2009 with repeat bookings from our regular guests.
FREE no obligation booking forms are available upon request.
We look forward to hearing from you,
Sue Osman
Supported Holidays Š
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Wii used in hospital physiotherapy

Nathan Ellis, 12, with physios Zoe Pilborough and Julie Sutcliffe
By Aasma Day
When 12-year-old Nathan Ellis was knocked over by a car he suffered devastating injuries and was lucky to live.
The youngster then faced 12 months of intensive physiotherapy to regain full use of his shattered limbs.
But it was then that Nathan, of Ashton, Preston, came up with a bright idea to make the exercises and treatment more fun.
And his concept of using the highly contagious Wii Fit computer game for treatment proved such a success it has now been introduced for patients in both the Royal Preston and Chorley and South Ribble Hospitals
The Nintendo Wii Fit is a video game which encourages exercise through active games interacting with the screen.
It has now been introduced into physiotherapy departments to aid the rehabilitation of young patients.
Nathan was knocked down by a car on Riversway, Preston, in September 2007 and broke both his legs and his right arm.
Nathan said: "I had a severe accident. I was in hospital for two weeks and had 12-months' physiotherapy and support to help get fit and get my mobility back and now I'm walking and back to normal.
"I thought it would be a good idea to get a Wii Fit for patients like me to help with their exercises. I'm pleased it is here and it's great fun."
As a result of Nathan's brainwave, staff at Lancashire Teaching Hospitals NHS Foundation Trust have purchased two consoles and the fitness games to benefit youngsters undergoing treatment.
Lesley Walters, head of physiotherapy at Lancashire Teaching Hospitals NHS Foundation Trust, said: "We provide a paediatric and adolescent physiotherapy service.
"One of our patients suggested it would be a good idea and new and fun way to get youngsters to undertake physiotherapy.
"Physiotherapy sessions for children and young people often use play or diversion techniques to get them to overcome any discomfort or stiffness they may feel.
"Wii Fit is a great way of using computer games to stimulate interest while performing exercises which can be uncomfortable.
"We encourage people to have fun while undergoing physiotherapy and the use of a computer games console which encourages fitness is a fantastic innovation for physiotherapy.
"Two consoles have been purchased and we will be using them in our paediatric and adolescent physiotherapy services at Royal Preston and Chorley and South Ribble hospitals.
"It is being used in an increasing number of NHS Physiotherapy departments and I'm sure that it will prove very popular in Lancashire."
The consoles were bought with funds from the Incubator Appeal which uses donated loose change, old money and foreign currency for good causes at the trust.
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17 October 2008
Nintendo Wii + Wii Sports - Good for fitness in children?
The Nintendo Wii it seems, puts pay to the concerns in recent years over the inactivity in children due to their interest in video games consoles. The Wii console really sets itself apart from the rest with its revolutionary motion sensitive controller, which actually requires movement in order to play the games. The Nintendo Wii comes with the game Wii Sports, which includes tennis, baseball, bowling, golf and boxing. In tennis you will be swinging the remote as if it were a tennis racket and flicking it up to toss the ball into the air with a quick swing to serve. The other Wii Sports games work in a similar way simulating controller movements for like movements onscreen. Boxing however is the only Wii Sports game that uses the nunchuk attachment and is the most physically exhausting game of them all. In order to hit your opponent in the head or body, you will have to aim high or low with your swings. There are three different activities with each game. In training mode, you will participate in random challenges, after which you will be assigned a fitness age, based on your performance. Sound familiar? The Nintendo DS game, Brain Training comes to mind...a physical version perhaps? The important thing here is that gamers are becoming more physically active without even realising it - you could say it has a 'kill two birds with one stone' effect, combining video game play with physical activity. Given this 'physical' nature of the Wii, I wouldn't be suprised if parents rushed out to buy the Nintendo Wii just to get their kids off the sofa! Another great thing about the Nintendo Wii is that it appeals not only to children and teens but to adults too, so its something the whole family can enjoy. Could the Nintendo Wii revolutionize the way we play video games in the future? It will be interesting to see what Nintendo's competitors come up with next - this could be a tough one to beat!
About The Author
Karen Bennett For more information on the Nintendo Wii and to find cheapest prices, visit my website http://www.compareconsoleprices.co.uk
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A Love Like Rahab
Rahab pleads with Joshua not to destroy her home, and her place of business. She even hides him and a few of his mates. Until some sneaky snitch decides to tell their enemies of the Israelites plan of attack. (According to some scholars and experts on this particular time in history.)
Rahab decides to hang a red cord out her window, so Joshua and his troops know not to touch her home. Now... that is a small piece of background. But then, I started to put myself in Joshua's shoes (or rather sandals) based on some drawings that portray her, she seems to be a very attractive lady at that.
So at first glance I would like to think that when their eyes met, there was a subtle attraction. Because they couldn't show it, they probably couldn't show the radiation of their smiles. And the entire time Joshua was at war, I bet he thought about her, and I bet his prayer was to make it back alive so he could see Rahab again.
Please understand that this is just my assumption. But what made me so intrigued by the two of them, was how counter culture their relationship was. I mean Joshua was no an idiot he knew she was a prostitute and how she made money, but he didn't know how many partners she could have had, unless she just came out and told him.
However, in my assumption. I believe Joshua didn't go up to rahab and say to her: "Hey lets date!" He probably saw this beautiful women who needed love like anyone else, and that its hard to make a living in this life. And Rahab knew that she could not live the life she was leading anymore. After awhile it gets old and you start to wonder if this all adds up to how much she is worth.
So theirs a connection between them already. The reason I say this is so counter culture is because it is very, very difficult to find love and acceptance. The kind of total, pure acceptance that leaves us in awe, and leaves us wondering why we haven't be thrown to the side of the road. Our society is very rush, when one is honest about his or her past with some one they care for or love. The opposite person is left in a state of disbelief. We say things like: "Wow.." "Not you, this just can't be true can it?" Or "I don't think we can have a future anymore, because you've got to much baggage, and my future is just to important to me."
This is true and we cannot deny... These response are so very painful. Nothing in me senses that Joshua did this with Rahab. He didn't throw a "purity rocks" T-shirt at her or say something like "True love waits." Now I have no problem with these stances, the keep us free from having a life of having to take medicine and learning to cope with any horrible sickness.
I don't see Christ doing that, so what gives us the right? Sure, I'm in no way shape or form saying go out in live a reckless care free life. Don't take what I'm saying out of the proper context, all I am saying is that God just sees the son or daughter. And he speaks well of the good that is already in them. Which is what people mean when they say: "God bless you" It is meant to say that I think well of you and so does God. Again, let me state that God does convict and points our sins, but he in no way gives a saying that thousands of other people crowd around.
Rather, I believe he gets down on his knees, wraps his hands around the head of his son or daughter. And quietly and lovingly rebukes the nature they're living. Why can't we do this for one another? Regardless of wether it'd be a sexual past or whatever the case may be? The Bible clearly states that we are to become more and more like every single day, hence this is his will for all humanity. But we are unaware of our short comings. Now, to the person who has these high standards of morality. I say well done to you. But are your standards so high that you are far from the loving the Un-Pure?
We scare people to the point where if they do sin, their done for. And God is just standing there ready to crack that whip. Not true. Mistakes are bound to happen they will. There're so many people who live in shame in this hour, because of something they've done. Let me tell you that there is a huge difference between conviction and shame. And lets be very honest with ourselves for a minute.
What exactly do we want? We want a love like Rahab has received. And it may be from another human being, or it very well be God himself or maybe even both. Whatever the case this love is life changing, this kind of love leaves us dumbfounded. If only we all could share our love like this, the chains would be broken. We'd throw down the heavy burdens of life and seek rest. We'd have a love like rahab.
-Brandon the writer.
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2008 GOWRIE NEWSLETTER ISSUE 02

Page 4: HOLIDAY IN SPAIN
Last year I went on holiday to Spain in October with a company called Supported Holidays run by Sue Osman. I liked it so much that I went again in December and have booked to go again this year and would like to tell you all about it.
I heard about Supported Holidays from my Support Workers, who knew other service users who had enjoyed their holidays in Spain. I wanted to go abroad but didnât want to go on my own so I thought a supported holiday would be just right for me. I caught a flight from Edinburgh to Malaga airport where I was met by staff from Sueâs project. It is quiet a long drive from the airport to the house in Nerja. This is a quit secluded area of Malaga and you can see the mountains in the distance. We drove up there one day and I saw a huge Dam which was very educational.
Now we come to the most important part of the project â the house itself! When you arrive you see 2 long green gates to the south of the property and a ramp down the side of the house which leads to bedrooms suitable for people in wheelchairs. The house is guarded by 2 big dogs called Cass & Monty, I was a bit scared of them at first but once they know you they are very friendly. There is a large enclosed garden with a swimming pool that the residents can use. I had my own bedroom and shared a bathroom with 2 to 3 other guests. The staff make lovely meals and even got my favourite cooked for me â a big Sunday roast with ice-cream for dessert!
There are lots of things you can do during your holiday; Sue organises trips for her visitors and the staff drive us in the project mini-bus. I went on a trip on a cable car with one staff called Sean. I was a bit nervous before I went on but once I was up it was just like sitting on a bus! The view was beautiful, it felt like you could see all over Spain and right across the sea. Other days I chose to go around the shops with Sue. There are a lot of cafes and bars in Malaga too where we went out with the staff in the evening. One night I saw a wonderful fireworks display with pinks, reds, blues and yellow lighting up the sky.
I cant wait to go again this October.
FRANK WYNEE
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16 October 2008
15 October 2008
Blow for parents as NHS refuses to pay for sonâs specialist walker
By Ryan Crighton
A north-east couple have been left âdevastatedâ after NHS Grampian refused to fund a specialist walker which has given their disabled son a new lease of life.
Five-year-old Alfie Arthur, who is a pupil at Anna Ritchie Schoolâs nursery in Peterhead, was diagnosed with severe cerebral palsy when he was just a few months old.
The Ardallie youngster is unable to speak, walk, stand, feed himself or do any of the daily tasks that others take for granted.
A section of his brain stopped developing in the womb and he was left with very low muscle tone and body control.
He also suffers from scoliosis of the spine, which means he has to wear a back brace to support and strengthen his spine.
His parents, Gary and Colette Arthur, of South Hawkhillock, found a ray of hope during the summer when Alfie stepped into a specialist walker for the first time â allowing him to strengthen the muscles in his legs and spine as well as giving him improved mobility.
It even helped him play football and splash in puddles with his sisters, Lauren, 11, and Georgia, 7.
However, NHS Grampian has told the family that it does not have the funds to pay for Alfie to get the ÂŁ1,800 walker full-time, so the family have decided to raise the money for it themselves.
An NHS Grampian spokesman said last night new devices came on to the market all the time, and not all were proven to be clinically useful to patients.
He added: âWe see hundreds of people in the course of a year and clearly need to be convinced that such equipment would benefit patients.â
Last night Mrs Arthur said the family were not angry at the decision by NHS Grampian, âbecause that wonât change itâ.
âWe as a family were devastated,â she said.
âWe would happily trade in all his other equipment for this as heâs gained so much from it. So, we have decided to raise the money for it ourselves.
âHowever, at the same time as needing to raise money for a walker, Alfie is going to be moving up to a wheelchair which means that we also need to find funds for a deposit on a mobility car and for renovations to our home to accommodate a wheelchair. This is where our friends and family stepped in and offered to help and raise funds.
âAs Alfie loves music so much, it was decided he would approve of a ceilidh â this then developed into a Burns night and ceilidh complete with guest speakers, pipes and Highland dancers.â
The Burns night and ceilidh is being held at the Station Hotel , Ellon, on Saturday, January 24.
For more information, to book tickets or to donate a raffle prize for the event, contact either Kirstie Moar on 01358 711324 or themoars@btinternet.com, or Mrs Arthur on 01358 711385.
Anyone who is unable to attend the event, but would still like to support the cause, can donate by debit or credit card at the website www.giftshare.com/alfie
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California Physical Therapists Promote Nintendo Wii for Core Strength and Fitness
SACRAMENTO, Calif., Oct 14, 2008 /PRNewswire via COMTEX/ -- With October being National Physical Therapy Awareness Month, expect Nintendo Wiis to be flying off the shelves. Among the first in line will be members of the California Physical Therapy Association (CPTA), who stand by the video game console and its accompanying sports and fitness games as one of the best therapeutic technology inventions to roll out in a long time.
"As physical therapists, we are movement specialists engaged in the CPTA-sponsored MoveCalifornia campaign to get people active and fit again. In the midst of this, we're seeing a therapeutic phenomenon of sorts with kids, grown-ups and geriatric patients getting off the couch and learning how to properly use the Wii for core strength and balancing exercises," said CPTA member Amy Calhoun Sanchez, PT, DPT, CSCS, NSCA-CPT.
Sanchez is a doctor of physical therapy working in the outpatient rehabilitation department at a local Los Angeles hospital and provides pediatric home health care for developmentally delayed children.
"In the clinic setting, we treat patients with acute and chronic pain, those recovering from surgery or stroke and many other conditions with specific balance and strengthening exercises and manual therapy, and they respond to that," added Sanchez. "But the Wii sports games are interactive, fun and entertaining, and patients become more engaged playing with them. By teaching patients how to use the Wii in a clinic setting, we empower them to continue their exercise, fitness and training with the Wii Fitness in the comfort of their own homes."
While Sanchez emphasized Wii is helpful in preventing injuries and falls and increasing functionality, she cautions that anyone with undiagnosed pain or untreated injuries should refrain from using the Wii without professional guidance.
"Playing a Wii game too soon after an injury can be extremely harmful to a person's health and even set back recovery or lead to re-injury if he or she is not properly evaluated by a physical therapist first," said Sanchez. "A therapist will help to decrease pain and improve posture before recommending or advancing a Wii regimen tailored to the individual's specific needs."
Sanchez noted most physical therapy includes core stability training, but often it is difficult to teach people how to engage their core. "They tend to arch their backs and put too much weight on their heels in a way that causes further pain with movement."
"What's so great about the Wii is it allows a patient to know where the body is in space by showing real-time movements on a screen in simulated yoga, aerobics, strength training and balance exercises," stated Sanchez. "The Wii is the next best thing to simulating an environment on the golf course or tennis court, so we can see first hand what a person is doing wrong and correct that movement. The Wii makes for simple and fun therapy and, right now, is the coolest, new therapy around."
MoveCalifornia is a CPTA-sponsored statewide public education campaign designed to call attention to the importance of wellness and daily physical exercise and the unique role physical therapists play in these areas. For more information about MoveCalifornia, visit the MoveCalifornia Web site at http://www.movecalifornia.org.
SOURCE California Physical Therapy Association
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Occupational therapists unite: Wiihabilitation is more fun than prescribed exercises!
As the proud possessor of a brand new Wii and WiiFit, Iâm a convert to the addictive powers of the Wii. Iâm not the only, and certainly not the first person to think of the rehabilitative potential of the Wii - in fact itâs been one of the most successful âcross-overâ toys that the computer geeks have come up with.
I am planning to use the Wii and WiiFit to study whether it can help develop balance, activity tolerance and especially increase proprioceptive awareness in people experiencing persistent pain and complex regional pain syndrome. There are clinical guidelines Iâve just discovered here at RehabCare who have produced a podcast covering clinical practice guidelines for using the Nintendo Wii. And Iâve just found an occupational therapistâs site called WiiHab!
Iâve had mine for two days now, I donât want to admit to the number of hours Iâve spent on it (sad but true!), and there are a few quibbles about it for my purposes: the main problem with the WiiFit component is that itâs not modifiable so as a therapist I canât select the exercises I want to prescribe for the people I work with; and I havenât yet worked out how to transfer the cumulative graphical information into another format. But I do like the English (UK) instructors accent, and that itâs possible to view how to do the exercises from front or back. I also love the portability of it, and the relative lack of bits and pieces apart from the controller and WiiFit platform.
With a bit of tweaking from some geeky types, Iâm sure it will be possible to modify the bits Iâm less than happy with, or perhaps Nintendo will work out that this is a feature that it could provide in a âtherapy-specificâ version of the programme. From the search I completed on Google just using the term âWiihabilitationâ which came up with 9,920 hits, it seems clear that there is a demand for it within health and rehabilitation settings.
For pain management? Well apart from my specific study, I think the Wii has further application as an alternative to the many gym-based exercise programmes that are funded by major rehabilitation funders such as ACC or WorkCover.
To date there is no conclusive evidence that any specific fitness programme is superior to any other for the management of chronic pain (particularly low back pain), so it seems reasonable to think that any activity that is engaging, motivating and appeals to families might be able to be purchased or loaned as part of a pain management programme. Under the supervision of a therapist (occupational therapist or physiotherapist) a person with chronic pain can be guided through the process of gradually regulating their engagement in activity while at the same time learning how to integrate pain management skills.
It would be even more appropriate if the therapist can select and grade the level and type of activities the person uses. Hey, adding in a couple of biofeedback elements (like a heart rate monitor or skin conductance monitor) would make it even more useful!
The main concern I have with any exercise-focused pain management is that in the enthusiasm to engage in âfitnessâ it becomes the goal rather than a means to develop activity tolerance, reduce avoidance, and a method for developing appropriately paced activity.
I think a time-limited loan or rental of something like the WiiFit could be a great way for someone to develop the skills until they move into the next phase of learning to live with chronic pain - returning to ânormalâ activities. And if fitness or exercise becomes part of the personâs general pain management regime, and a Wii is something they use, it might be helpful. Of course, if they prefer to salsa dance, go rock climbing, trot around the shopping mall at full tilt, or perhaps go to a local tai chi class - then that might be a better option!
The main thing is that here is a gadget that is fun, well-accepted, and emininently modifiable. Oh, and it makes for team-building as well as family fun while the therapist/s are learning to use it!!
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Flexible Fitness: Just a 'Wii' bit of exercise
Just when the obesity crisis in the United States seems to be hitting its peak, who would have thought that a video game would come to our rescue? Haven't we been telling our kids to get off the couch and stop playing their video games?
A recent study published in the British Journal of Sports Medicine says that playing a new generation of virtual reality video games - such as the Nintendo Wii - will expend 65 percent more energy than playing a sedentary game.
The remote hand controls are used while interacting with your television screen. With the motion-sensitive remote, players can simulate active games such as baseball, boxing or even swimming. There are training modes for practice, and competitive modes to test your skill.
The journal goes on to caution that this does not burn as much energy as playing the actual sport, and does not meet the recommended daily amount of exercise, but it's a start.
In fact, these virtual reality gaming systems are demonstrating benefits well beyond the entertainment of the adolescent age group to whom they are marketed. The Nintendo Wii is being used in outpatient physical rehabilitation centers throughout the United States, with the term "Wii-habilitation" used as an adjunct to conventional physical therapy.
Maintaining balance on the Wii Fit board can be used to help an 18-year-old gain strength and improve sensory feedback after an ankle sprain as well as improve the standing balance of an 88-year-old whose goal is to be able to stand for a longer amount of time and reach for something without losing her balance.
The sometimes tedious and often boring exercises of physical rehabilitation are replaced with interactive games that also promote visual tracking, sequencing, coordination, range of motion, endurance and mental focus. Patients have an opportunity to be distracted from the pain or fear of falling, and are more motivated to participate in a program that is enjoyable.
Virtual reality devices are being used in a variety of settings. Hospitals are using virtual reality to promote relaxation and pain control in the emergency and operating rooms. Nursing homes and senior centers use the Wii as a social activity.
The Wii game system promotes movement and allows people who may not be able to hit a golf ball on an actual golf course to at least get a feel for the game on a virtual course. Scientific research has demonstrated that people with disabilities are able to learn with virtual systems, and that movements patterns obtained within the virtual system are carried over into the real world.
According to Beth Grill, an advanced physical therapist at Spaulding Framingham, "Use of the Wii has added another exciting dimension to our treatment of patients with orthopedic and neurological problems. Patients are having fun in therapy which only adds to their success."
Lisa Brown is an expert level physical therapist at Spaulding Framingham Outpatient Center. Lisa specializes in the treatment of patients with neurologic disorders, and is certified in the treatment of balance and vestibular disorders. If you have any questions about the use of virtual reality systems in rehab, Lisa can be contacted at lbrown12@partners.org, or by phone at 508-8720-2200, ext. 4428.
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14 October 2008
Wii and Rehabilitation
Part of Schlobohmâs rehabilitation exercises was to use the Nintendo Wii system, which is being used around the country not only for entertainment purposes but now for rehabilitation programs. The program is called Wii Fit and Wii Sport. The results are proven to speed up the rehabilitation process in patients who have had injuries or strokes, said Kim Bales, program director of Newmanâs inpatient rehabilitation unit.
Bales said the whole purpose of inpatient rehabilitation is to get patients home and have them be as safe as possible when going home. The Wii system is another tool to work toward that goal. Itâs now being used in several different wards for strengthening and balance.
Bales added that patients from 39 to 89 years old have enjoyed using the system. âOur average age is 79 that comes in (inpatient rehab) and they all love it (Wii).â
Dale Barb, a physical therapist at Newman, said there are many ways the Wii game system can be used in rehabilitation. Barb said the system helps patients practice tasks they will have to perform when they go home from the unit, including standing, balance and coordination.
The game helps patients stand longer and distracts them from the task at hand and gives them something fun to focus on, Barb explained as Schlobohm cheered in the background with her registered occupational therapist, Julia Gotchall.
âItâs fun,â Schlobohm said after she was done with her session. âI think itâs wonderful. Itâs terrific exercise. Itâs a wonderful program and the whole thing up here is wonderful.â
âMy friends ask me if I can walk,â she said. âI said, âRun, no; walk, yes.ââ
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12 October 2008
Cerebral Palsy and Physical Therapy
Visit http://www.cpdiscovery.com for more videos - When a child is diagnosed with Cerebral Palsy, a parent might wonder what's in store for them in terms of therapy. Which ones should they participate in? What is available? How long various interventions are expected to last?Noreen Scott is a Physical Therapist and owner of Tender Ones Therapy Services in Dacula, Georgia. She believes in the power of Physical Therapy when it comes to children with Cerebral Palsy."When we work with children with CP, our ultimate goal is for them to be as functional as they can possibly be and as independent. In order to be able to do those skills and be independent, you have to have the building blocks. What those building blocks are...are getting your range of motion through an acceptable amount, being flexible, being strong, having good balance...so that child can stand and walk and be independent on their own and as they grow older," says Noreen.In the following video report, Noreen explains how Cerebral Palsy affects children, goals associated with Physical Therapy, and how long parents should expect their child to see a Physical Therapist. For more information on Noreen Scott or Tender Ones Therapy Services, Inc: www.tenderones.comFor more information on CP related therapies: http://www.cpdiscovery.comFunding for CP Discovery is provided by http://www.rehabmart.com
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Children with disability
Watch the video
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Wiihabilitation
Patients use Wii video games for therapy, recovery from injury or surgery. Video shot by Herald-Times reporter Dann Denny
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